| Objective:To observe the clinical efficacy of acupuncture cleft points in treating occipital neuralgia by comparing with conventional acupuncture,and to provide new methods and ideas for treating this disease.Methods:73 patients who met the inclusion criteria were randomly divided into treatment group and control group according to the order of treatment,37 patients in treatment group and 36 patients in control group.The control group was treated with conventional acupuncture method,and the sun meridian headache treatment methods were selected as ashi point,Houding point,Tianzhu point,Fengchi point,Houxi point and Shenmai point according to the textbook "Acupuncture Therapy" of the National 14th Five-Year Plan for higher education of traditional Chinese medicine industry.Treatment group on the basis of routine acupuncture,plus foot Sun meridian,Yang Wei vein and Yang Qiao vein cl eft points,namely bilateral Jinmen,Yang Jiao,tatanyang point.The injection depth was determined according to the anatomical characteristics of each acupoint.After the qi was obtained from the above acupoints,the needle was kept for 30min.The treatment was performed once a day,5 times as a course of treatment,and the next course of treatment was performed after 2 days of rest.Short-form McGill Pain Questionnaire Questionnaire,including pain grading index(PRI),visual analog Scale(VAS)and existing pain intensity(PPI),were observed before and after treatment in the two groups.And the Headache Impact Test Questionaire 6(HIT-6)score before,after,and during follow-up to compare the efficacy of the two treatments.SPSS26.0 statistical software was used to analyze the test data,and the difference was statistically significant when P<0.05.Results:1.The total score of the Short-form McGill Pain Questionnaire:before the treatment,two groups of patients with the total score of Short-form McGill Pain Questionnaire no statistical difference(P>0.05),the comparable.The difference was statistically significant after treatment(P<0.05).After treatment,the scores of the two groups were significantly decreased compared with before treatment(P<0.05),and the reduction degree of the treatment group was greater than that of the control group.2.PRI score:Before treatment,the score of the PRI(including sensory and emotional items)of patients was compared,and there was no statistical difference(P>0.05),indicating that the two were comparable.After treatment,the scores of sensory and emotional items in 2 groups were significantly decreased compared with those before treatment(P<0.05).The score of emotion item in PRI was significantly lower in the treatment group than in the control group(P<0.05).However,there was no significant difference in sensory scores between the two groups(P>0.05).In terms of partial total score of PRI,after treatment,both groups were lower than before treatment,the difference was statistically significant(P<0.05),and the reduction degree of the treatment group was greater than that of the control group.3.VAS score:Before treatment,there was no statistical difference in VAS score between the two groups(P>0.05),indicating that the two groups were comparable.The difference after treatment was statistically significant(P<0.05).After treatment,the scores of the two groups were significantly decreased compared with before treatment(P<0.05),and the reduction degree of the treatment group was greater than that of the control group.4.PPI score:Before treatment,the score of the PPI of patients was compared,and there was no statistical difference(P>0.05),indicating that the two were comparable.The difference after treatment was statistically significant(P<0.05).After treatment,the scores of the two groups were significantly decreased compared with before treatment(P<0.05),and the reduction degree of the treatment group was greater than that of the control group.5.HIT-6 scores:Before treatment,there was no statistical significance in HIT-6 scores between the two groups(P>0.05),indicating that the two groups were comparable.After treatment and at two follow-up visits,the difference of HIT-6 score was statistically significant(P<0.05).After treatment and at two follow-up visits,the scores of both groups were significantly decreased compared with before treatment(P<0.05),and the reduction degree of the treatment group was greater than that of the control group.6.Comparison of clinical efficacy:the total effective rate was 91.18%in the treatment group and 76.47%in the control group;The clinical efficacy of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:1.Acupuncture the Xi-cleft points and conventional acupuncture are effective in the treatment of occipital neuralgia,both of which can effectively reduce the degree of pain,reduce the impact of headache on the life of patients,and improve the quality of life.2.Acupuncture the Xi-cleft points is effective in treating occipital neuralgia.In terms of pain grading index,emotion,visual simulation,existing pain degree and reducing the impact of headache,acupuncture cleft points is superior to conventional acupuncture. |
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